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1.
J Chem Phys ; 153(22): 224104, 2020 Dec 14.
Artículo en Inglés | MEDLINE | ID: mdl-33317307

RESUMEN

Photo-induced relaxation processes leading to excimer formations or other traps are in the focus of many investigations of optoelectronic materials because they severely affect the efficiencies of corresponding devices. Such relaxation effects comprise inter-monomer distortions in which the orientations of the monomer change with respect to each other, whereas intra-monomer distortions are variations in the geometry of single monomers. Such distortions are generally neglected in quantum chemical investigations of organic dye aggregates due to the accompanied high computational costs. In the present study, we investigate their relevance using perylene-bisimide dimers and diindenoperylene tetramers as model systems. Our calculations underline the importance of intra-monomer distortions on the shape of the potential energy surfaces as a function of the coupling between the monomers. The latter is shown to depend strongly on the electronic state under consideration. In particular, it differs between the first and second excited state of the aggregate. Additionally, the magnitude of the geometrical relaxation decreases if the exciton is delocalized over an increasing number of monomers. For the interpretation of the vibronic coupling model, pseudo-Jahn-Teller or Marcus theory can be employed. In the first part of this paper, we establish the accuracy of density functional theory-based approaches for the prediction of vibrationally resolved absorption spectra of organic semiconductors. These investigations underline the accuracy of those approaches although shortcomings become obvious as well. These calculations also indicate the strength of intra-monomer relaxation effects.

2.
Phys Chem Chem Phys ; 20(6): 3988-3996, 2018 Feb 07.
Artículo en Inglés | MEDLINE | ID: mdl-29350226

RESUMEN

A recent review on the photoionisation of the C6H4 isomer ortho-benzyne suggests that bands reported in earlier photoelectron spectra might be due to side products or contaminations, while computations raise doubts, whether the cation has a planar geometry. We therefore reinvestigate the photoionisation of ortho-benzyne, generated by pyrolysis from benzocyclobutenedione, by photoion mass-selected threshold photoelectron (ms-TPE) spectroscopy using synchrotron radiation. The experiments are accompanied by a theoretical study that investigates the structure of the ortho-benzyne cation systematically as a function of the computational method, up to CASPT2(11,14) ab initio computations. Our study leads to a re-evaluation of the ionisation energy of ortho-benzyne. It reveals that the ortho-benzyne cation has indeed a twisted C2 geometry rather than a C2v structure. A vertical ionisation energy IEvert of 9.77 eV and an adiabatic ionisation energy of IEad = 9.56 eV are computed for ortho-benzyne. A Franck-Condon simulation of the photoelectron spectrum based on the CASPT2 results and including three electronic states of the cation is in agreement with the experiment and yields IEad = 9.51 eV (+50 meV/-100 meV). Since this value is in contrast with previous work, the ionisation energy has to be revised based on our study. Computational methods based on density functional theory give a reasonable description of the cationic ground state, but fail for the corresponding excited electronic states that are indispensible for a proper assignment of the photoelectron spectrum.

3.
Ann Oncol ; 25(2): 467-71, 2014 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-24355488

RESUMEN

BACKGROUND: Stereotactic radiotherapy (SRT) is a safe and locally effective treatment for patients with inoperable oligometastases. The challenge remains identifying subsets of patients that benefit in terms of overall survival (OS). PATIENTS AND METHODS: Between 2005 and 2011, 309 patients with ≤5 metastases were treated by stereotactic body radiotherapy (n=209) and/or by intracranial single or fractionated stereotactic radiotherapy (n=107). We analyzed OS and carried out a risk factor analysis. RESULTS: The median survival of all patients was 24 months. The 3-, 4- and 5-year OS rates were 32%, 25% and 19%, respectively. The following four risk factors were independently associated with impaired OS: nonadenocarcinoma histology (P<0.01), intracranial metastases (P<0.01), synchronous oligometastatic disease (P<0.01) and male gender (P=0.02). Patients with 0, 1 and 2 risk factors displayed a median survival (95% CI) of 40 (24-63), 29 (23-35) and 23 (16-29) months, respectively, and are defined as patients with good prognosis. Patients with 3 and 4 risk factors had a median survival of 9 (6-11) and 4 (1-7) months only and are defined as bad prognostic patients. CONCLUSIONS: We identified subsets of oligometastatic cancer patients with good prognosis after SRT. These patients are candidates for inclusion in prospective randomized trials for defining the role of SRT in the management of oligometastases.


Asunto(s)
Adenocarcinoma/cirugía , Neoplasias Encefálicas/cirugía , Radiocirugia , Adenocarcinoma/mortalidad , Adenocarcinoma/secundario , Adulto , Anciano , Anciano de 80 o más Años , Neoplasias Encefálicas/mortalidad , Neoplasias Encefálicas/secundario , Supervivencia sin Enfermedad , Fraccionamiento de la Dosis de Radiación , Femenino , Humanos , Estimación de Kaplan-Meier , Metástasis Linfática , Masculino , Persona de Mediana Edad , Análisis Multivariante , Pronóstico , Estudios Retrospectivos
4.
J Chem Phys ; 140(2): 024503, 2014 Jan 14.
Artículo en Inglés | MEDLINE | ID: mdl-24437892

RESUMEN

Due to its importance for the function of organic optoelectronic devices, accurate simulations of the singlet exciton diffusion are crucial to predict the performance of new materials. We present a protocol which allows for the efficient directional analysis of exciton transport with high-level ab initio methods. It is based on an alternative to the frequently employed rate equation since the latter was found to be erroneous in some cases. The new approach can be used in combination with the master equation which is considerably faster than the corresponding Monte Carlo approach. The long-range character of the singlet exciton coupling is taken into account by an extrapolation scheme. The approach is applied to singlet exciton diffusion in those substances where these quantities are experimentally best established: naphthalene and anthracene. The high quality of the crystals, furthermore, diminish uncertainties arising from the geometrical structures used in the computations. For those systems, our new approach provides exciton diffusion lengths L for naphthalene and anthracene crystals which show an excellent agreement with their experimental counterparts. For anthracene, for example, the computed L value in a direction is computed to 58 nm while the experimental value is 60 ± 10 nm.

5.
Gene Ther ; 20(6): 634-44, 2013 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-23052828

RESUMEN

Adoptive T-cell therapies have shown significant promise in the treatment of cancer and viral diseases. One approach, which introduces antigen-specific T-cell receptors (TCRs) into ex vivo activated T cells, is designed to overcome central tolerance mechanisms that prevent responses by endogenous T-cell repertoires. Studies have suggested that use of higher-affinity TCRs against class I major histocompatibility complex antigens could drive the activity of both CD4(+) and CD8(+) T cells, but the rules that govern the TCR binding optimal for in vivo activity are unknown. Here, we describe a high-throughput platform of 'reverse biochemistry' whereby a library of TCRs with a wide range of binding properties to the same antigen is introduced into T cells and adoptively transferred into mice with antigen-positive tumors. Extraction of RNA from tumor-infiltrating lymphocytes (TILs) or lymphoid organs allowed high-throughput sequencing to determine which TCRs were selected in vivo. The results showed that CD8(+) T cells expressing the highest-affinity TCR variants were deleted in both the TIL population and in peripheral lymphoid tissues. In contrast, these same high-affinity TCR variants were preferentially expressed within CD4(+) T cells in the tumor, suggesting they had a role in antigen-specific tumor control. The findings thus revealed that the affinity of the transduced TCRs controlled the survival and tumor infiltration of the transferred T cells. Accordingly, the TCR library strategy enables rapid assessment of TCR-binding properties that promote peripheral T-cell survival and tumor elimination.


Asunto(s)
Inmunidad Adaptativa/genética , Tratamiento Basado en Trasplante de Células y Tejidos , Receptores de Antígenos de Linfocitos T/genética , Animales , Linfocitos T CD4-Positivos/inmunología , Linfocitos T CD4-Positivos/metabolismo , Linfocitos T CD8-positivos/inmunología , Biblioteca de Genes , Vectores Genéticos , Antígenos de Histocompatibilidad Clase I/genética , Humanos , Linfocitos Infiltrantes de Tumor/inmunología , Ratones , Receptores de Antígenos de Linfocitos T/inmunología , Retroviridae/genética , Transducción Genética
6.
Gene Ther ; 19(4): 365-74, 2012 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-21753797

RESUMEN

Transduction of exogenous T-cell receptor (TCR) genes into patients' activated peripheral blood T cells is a potent strategy to generate large numbers of specific T cells for adoptive therapy of cancer and viral diseases. However, the remarkable clinical promise of this powerful approach is still being overshadowed by a serious potential consequence: mispairing of the exogenous TCR chains with endogenous TCR chains. These 'mixed' heterodimers can generate new specificities that result in graft-versus-host reactions. Engineering TCR constant regions of the exogenous chains with a cysteine promotes proper pairing and reduces the mispairing, but, as we show here, does not eliminate the formation of mixed heterodimers. By contrast, deletion of the constant regions, through use of a stabilized Vα/Vß single-chain TCR (scTv), avoided mispairing completely. By linking a high-affinity scTv to intracellular signaling domains, such as Lck and CD28, the scTv was capable of activating functional T-cell responses in the absence of either the CD3 subunits or the co-receptors, and circumvented mispairing with endogenous TCRs. Such transduced T cells can respond to the targeted antigen independent of CD3 subunits via the introduced scTv, without the transduced T cells acquiring any new undefined and potentially dangerous specificities.


Asunto(s)
Inmunoterapia Adoptiva/métodos , Receptores de Antígenos de Linfocitos T alfa-beta/genética , Receptores de Antígenos de Linfocitos T/inmunología , Transducción Genética , Animales , Complejo CD3/genética , Línea Celular , Dimerización , Vectores Genéticos , Humanos , Ratones , Multimerización de Proteína , Retroviridae/genética
7.
Ann Oncol ; 22(2): 362-8, 2011 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-20685718

RESUMEN

BACKGROUND: To evaluate the efficacy and toxicity of helical tomotherapy in the treatment of oligometastatic colorectal cancer (CRC) patients who were not amenable for metastasectomy and/or (further) systemic treatment. PATIENTS AND METHODS: CRC patients with five or less metastases were enrolled. No limitations concerning dimension or localization of the metastases were imposed. Patients were treated with intensity-modulated and image-guided radiotherapy using helical tomotherapy, delivering a total dose of 40 Gy in fractions of 4 Gy. Positron emission tomography-computed tomography (PET-CT) was carried out at baseline and 3 months after the initiation of radiotherapy to evaluate the metabolic response rate according to PET Response Criteria in Solid Tumors (PERCIST) version 1.0. Side-effects were scored using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTC AE) version 3.0. RESULTS: Twenty-three patients were enrolled. A total of 52 metastases were treated. One patient (4%) experienced grade 3 vomiting; two patients (9%) grade 2 diarrhea and dysphagia, respectively. Twenty-two patients were evaluated by post-treatment PET-CT. Five (23%) and seven patients (32%) achieved a complete and partial metabolic response, respectively, resulting in an overall metabolic response rate of 55%. The actuarial 1-year local control, progression-free survival, and overall survival were 54%, 25% and 86%, respectively. CONCLUSION: The use of helical tomotherapy in oligometastatic CRC patients resulted in a promising metabolic response rate of 55%.


Asunto(s)
Neoplasias Colorrectales/radioterapia , Anciano , Anciano de 80 o más Años , Neoplasias Colorrectales/patología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Metástasis de la Neoplasia , Tomografía de Emisión de Positrones , Dosificación Radioterapéutica , Tomografía Computarizada por Rayos X
9.
Clin Transl Oncol ; 20(4): 484-490, 2018 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-28795303

RESUMEN

BACKGROUND: To investigate the efficacy and toxicity of 68Ga-PSMA-HBED-CC (68Ga-PSMA) PET-CT-guided RT in the treatment of oligometastatic prostate cancer retrospectively. METHODS: A total of 23 prostate cancer patients with biochemical relapse, of which 13 were castration sensitive (CS) and 10 castration resistant (CR), were treated with intensity-modulated and image-guided RT (IMRT-IGRT) on ≤3 metastases detected by 68Ga PSMA PET-CT. Androgen deprivation therapy was continued in CR patients. RESULTS: A total of 38 metastases were treated. The involved sites were pelvic bone (n = 16), pelvic lymph nodes (n = 11), paraaortic lymph nodes (n = 6), ribs (n = 3) and vertebral body (n = 2). The median PSA prior to RT was 1.1 ng/mL (range 0.1-29.0 ng/mL). A median dose of 43.5 Gy (range 30-64 Gy) was delivered by IMRT-IGRT in 12-27 fractions. At a median follow-up of 7 months (range 2-17 months), 19 patients (83%) were in remission. Four patients (17%) developed distant recurrences. The actuarial 1-year LC, PFS and OS rates were 100, 51 (95% CI 8-83%) and 100%. Univariate analysis demonstrated a statistically significantly better PFS in CS patients as compared to CR patients (1-year PFS 67 vs. 0%, p < 0.01). One patient experienced grade 2 acute gastrointestinal toxicity. Grade 3 or more toxicity events were not observed. CONCLUSIONS: By providing optimal LC, low toxicity and a promising PFS in CS patients, the current retrospective study illustrated that 68Ga PSMA PET-CT-guided RT may be an attractive treatment strategy in patients with oligometastatic prostate cancer. Validation by randomized trials is eagerly awaited.


Asunto(s)
Metástasis de la Neoplasia/radioterapia , Tomografía Computarizada por Tomografía de Emisión de Positrones/métodos , Neoplasias de la Próstata/radioterapia , Radioterapia Guiada por Imagen/métodos , Anciano , Ácido Edético/análogos & derivados , Estudios de Factibilidad , Isótopos de Galio , Radioisótopos de Galio , Humanos , Estimación de Kaplan-Meier , Masculino , Persona de Mediana Edad , Oligopéptidos , Neoplasias de la Próstata/mortalidad , Neoplasias de la Próstata/patología , Radiofármacos , Radioterapia de Intensidad Modulada , Estudios Retrospectivos
10.
Oncogene ; 25(46): 6163-9, 2006 Oct 09.
Artículo en Inglés | MEDLINE | ID: mdl-17028595

RESUMEN

MicroRNAs (miRNAs) are abundant regulatory RNAs involved in the regulation of many key biological processes. Recent advances in understanding the mechanism of RNA interference and miRNA-mediated mechanisms shed light on major principals of the formation of the regulatory complex and provide models to explain how these small regulatory RNA species interfere with gene expression and how they influence the translational status of the transcriptome.


Asunto(s)
Regulación de la Expresión Génica/genética , MicroARNs/química , MicroARNs/genética , Interferencia de ARN/fisiología , Procesamiento Postranscripcional del ARN , Animales , Humanos , Modelos Moleculares
11.
Methods Enzymol ; 578: 145-67, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27497166

RESUMEN

We present new schemes to improve the convergence of an important global optimization problem and to determine reaction pathways (RPs) between identified minima. Those methods have been implemented into the CAST program (Conformational Analysis and Search Tool). The first part of this chapter shows how to improve convergence of the Monte Carlo with minimization (MCM, also known as Basin Hopping) method when applied to optimize water clusters or aqueous solvation shells using a simple model. Since the random movement on the potential energy surface (PES) is an integral part of MCM, we propose to employ a hydrogen bonding-based algorithm for its improvement. We show comparisons of the results obtained for random dihedral and for the proposed random, rigid-body water molecule movement, giving evidence that a specific adaption of the distortion process greatly improves the convergence of the method. The second part is about the determination of RPs in clusters between conformational arrangements and for reactions. Besides standard approaches like the nudged elastic band method, we want to focus on a new algorithm developed especially for global reaction path search called Pathopt. We started with argon clusters, a typical benchmark system, which possess a flat PES, then stepwise increase the magnitude and directionality of interactions. Therefore, we calculated pathways for a water cluster and characterize them by frequency calculations. Within our calculations, we were able to show that beneath local pathways also additional pathways can be found which possess additional features.


Asunto(s)
Algoritmos , Argón/química , Proteínas/química , Agua/química , Enlace de Hidrógeno , Cinética , Simulación de Dinámica Molecular , Método de Montecarlo , Termodinámica
12.
Mol Biochem Parasitol ; 75(1): 99-111, 1995 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-8720179

RESUMEN

A cDNA encoding a Schistosoma mansoni cyclophilin (SmCyP) has been cloned by polymerase chain reaction amplification using degenerate oligonucleotides based on known conserved cyclophilin (CyP) sequences and by screening an expression cDNA library. The cDNA sequence encodes a 21.5-kDa protein, which shares 59% sequence identity with human CyP B. The SmCyP protein was expressed in Escherichia coli with a hexahistidine affinity tag at its amino terminus and antibodies to the purified (His6)-SmCyP fusion protein were raised in a rabbit. Fractionation of parasite material followed by immunoblot analysis revealed that schistosome CyP is a soluble protein. The N-terminus of the predicted protein contains a hydrophobic region, suggestive of a signal sequence. Accordingly, a recombinant SmCyP protein, lacking the first 23 amino acids was found to share the same gel electrophoretic mobility as the parasite-derived CyP protein, suggesting cleavage of a leader sequence. Hybridization of genomic DNA to a full-length cDNA probe indicates that the SmCyP gene is present as a single copy. Immunohistological experiments in conjunction with confocal scanning laser microscopy and immune electron microscopy show that SmCyP is present in abundance in the adult worm as well as in the schistosomula. The function of CyP in the schistosome is presently unclear, but since its ligand, cyclosporin A, has antischistosomal activity, its function is expected to be a vital one.


Asunto(s)
Isomerasas de Aminoácido/biosíntesis , Proteínas Portadoras/biosíntesis , Proteínas del Helminto/biosíntesis , Schistosoma mansoni/metabolismo , Isomerasas de Aminoácido/análisis , Isomerasas de Aminoácido/genética , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Proteínas Portadoras/análisis , Proteínas Portadoras/genética , Clonación Molecular , Codón , Secuencia Conservada , Cartilla de ADN , ADN Complementario , ADN de Helmintos/química , ADN de Helmintos/metabolismo , Escherichia coli , Genes de Helminto , Proteínas del Helminto/genética , Humanos , Microscopía Electrónica , Datos de Secuencia Molecular , Sistemas de Lectura Abierta , Isomerasa de Peptidilprolil , Reacción en Cadena de la Polimerasa , Proteínas Recombinantes/biosíntesis , Schistosoma mansoni/genética , Schistosoma mansoni/ultraestructura , Homología de Secuencia de Aminoácido
13.
Brain Res Mol Brain Res ; 94(1-2): 67-74, 2001 Oct 19.
Artículo en Inglés | MEDLINE | ID: mdl-11597766

RESUMEN

We have recently cloned a novel Doublecortin CaMK-like kinase (rDCAMKL) cDNA, and a related cDNA called CaMK-related peptide (CARP) from the rat hippocampus. These genes are structurally highly similar to the human DCAMKL-1 gene and doublecortin, a gene associated with X-linked lissencephaly and subcortical band heterotopia. Here we report on the genomic organization of the murine DCAMKL gene and its products. Our results show that DCAMKL and CARP are alternative splice products of the same gene. The DCAMKL gene also generates three alternatively-spliced rDCAMKL transcripts of which we have cloned the corresponding cDNAs and which potentially generate different DCAMKL proteins. In situ hybridization experiments show that the different rDCAMKL transcripts are all expressed in the adult rat hippocampus. We conclude that alternative splicing of the DCAMKL gene may generate different but similar proteins in the adult rat hippocampus thereby regulating different but overlapping aspects of DCAMKL controlled neuronal plasticity.


Asunto(s)
Proteínas Quinasas Dependientes de Calcio-Calmodulina/genética , Hipocampo/fisiología , Proteínas Asociadas a Microtúbulos , Transcripción Genética/fisiología , Factores de Edad , Empalme Alternativo/genética , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Proteína Quinasa Tipo 1 Dependiente de Calcio Calmodulina , Proteína Quinasa Tipo 4 Dependiente de Calcio Calmodulina , Proteínas Portadoras , Citoesqueleto/enzimología , ADN Complementario/aislamiento & purificación , Proteínas de Dominio Doblecortina , Proteína Doblecortina , Exones , Femenino , Expresión Génica/fisiología , Humanos , Intrones , Ratones , Datos de Secuencia Molecular , Neuropéptidos/genética , Fosfoproteínas/genética , Ratas
14.
Chemistry ; 6(15): 2854-64, 2000 Aug 04.
Artículo en Inglés | MEDLINE | ID: mdl-10985733

RESUMEN

The novel amino-substituted acridizinium salts 5a and 5b represent a new class of cyanine dyes which exhibit intense color along with efficient fluorescence properties. These dyes show moderate solvatochromism in their absorption and emission spectra. The absorption and emission shifts of the two chromophores display a reasonable correlation with solvent parameters such as donor and acceptor number. It was found that the dyes 5a and 5b interact with DNA, with quenching of the band intensies accompanied with a red shift of the absorption and emission bands. Moreover, irradiation of salts 5a and 5b in the presence of DNA results in DNA damage. Solution photolysis of acridizinium salt 5a gave the head-to-tail dimers as the major products (>95%), whereas the acridizinium salt 5b afforded the anti-head-to-tail dimer along with both head-to-head isomers. The latter are thermally labile and rapidly revert to the monomer.

15.
Brain Res ; 835(2): 365-8, 1999 Jul 24.
Artículo en Inglés | MEDLINE | ID: mdl-10415397

RESUMEN

The regional distribution of a novel Ca(2+)/calmodulin-dependent protein kinase (CaMK-VI) was examined in the adult rat brain by in situ hybridization. High levels of CaMK-VI mRNA were detected in the hippocampus, piriform cortex and habenula, moderate levels in different thalamic nuclei and cerebral cortex, and low levels in the frontal and parietal cortex. This discrete distribution pattern suggests an important role for CaMK-VI in limbic brain regions.


Asunto(s)
Encéfalo/metabolismo , Proteínas Quinasas Dependientes de Calcio-Calmodulina/genética , Regulación Enzimológica de la Expresión Génica/fisiología , ARN Mensajero/análisis , Animales , Hibridación in Situ , Sistema Límbico/metabolismo , Masculino , Ratas , Ratas Wistar
16.
Br J Ophthalmol ; 85(8): 946-8, 2001 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-11466252

RESUMEN

AIM: To establish whether ultrasound biomicroscope (UBM) is a helpful tool in locating the arterial segment responsible in patients with segmental attacks in giant cell arteritis METHODS: The superficial temporal arteries of 19 patients with suspected giant cell arteritis were examined with the UBM before biopsy. RESULTS: 20 specimens provided the histological proof of giant cell arteritis in five patients. Side differences, a dark perivascular halo, and high reflexivity of the intra-arterial space were found. CONCLUSION: it is assumed that there are two types of arteritic inflammation: (1) the occlusion of intra-arterial space due to intimal fibrosis (UBM: high reflexive "filling"), and (2) inflammation of the perivascular zone with oedematous thickening and infiltration of the media (UBM: dark halo) and its combination. UBM is helpful in obtaining an indication of the side and segment for biopsy.


Asunto(s)
Arteritis de Células Gigantes/diagnóstico por imagen , Arterias Temporales/diagnóstico por imagen , Anciano , Anciano de 80 o más Años , Biopsia/métodos , Sedimentación Sanguínea , Femenino , Arteritis de Células Gigantes/patología , Humanos , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Estudios Prospectivos , Arterias Temporales/patología , Ultrasonografía Doppler
17.
Br J Ophthalmol ; 86(9): 997-1001, 2002 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-12185126

RESUMEN

AIMS: To examine whether the early postoperative morphology at the site of sclerectomy, as visualised by ultrasound biomicroscopy (UBM), is an indicator of the mechanisms that lower intraocular pressure (IOP) and/or predictors of the long term outcome of viscocanalostomy. METHODS: 15 eyes of 14 patients with medically uncontrolled open angle glaucoma and no history of surgery underwent viscocanalostomy according to Stegmann's technique. Ultrasound biomicroscopy was performed during the first month after surgery. The following parameters were assessed: dimensions of the intrascleral "lake," presence of a filtering bleb, presence of a subconjunctival cavity or a suprachoroidal hypoechoic area, and the thickness of the residual trabeculocorneal membrane. A complete ophthalmological examination was performed the day before and the day after surgery. Follow up visits were scheduled 1 week, 4 weeks, 6 months, and 12 months after surgery. RESULTS: At 1 year successful control of IOP (<20 mm Hg) was achieved without further manipulation or medication in six of 15 eyes. The size of the intrascleral "lake" (average 0.62 mm(3)) did not correlate with later IOP; however, a visible route under the scleral flap and accidental perforation of the trabeculocorneal membrane were associated with long term lowering of IOP. Normal thickness of the trabeculocorneal membrane (0.10-0.15 mm) was indicative of IOP control with and without medication. When UBM showed an early collapse of the intrascleral cavity, control of IOP was not achieved. Other UBM findings did not predict long term function. CONCLUSION: In accordance with previous studies, the authors found that UBM examination is a useful method to evaluate outflow mechanisms after glaucoma surgery. This study shows that UBM imaging of external filtration during the early postoperative period can be used to predict the success of viscocanalostomy. However, to establish conclusively what parameters of UBM predict successful viscocanalostomy a larger number of patients must be studied.


Asunto(s)
Glaucoma de Ángulo Abierto/cirugía , Adulto , Femenino , Glaucoma de Ángulo Abierto/diagnóstico por imagen , Humanos , Presión Intraocular , Masculino , Persona de Mediana Edad , Periodo Posoperatorio , Estudios Retrospectivos , Esclerótica/diagnóstico por imagen , Factores de Tiempo , Malla Trabecular , Resultado del Tratamiento , Ultrasonografía
18.
J Affect Disord ; 67(1-3): 193-7, 2001 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-11869768

RESUMEN

We report nine cases of juvenile mania, of which six began in the preschool years. We provide validation by clinical description, family history of bipolar disorder, worsening on stimulants, and considerable mood stabilization with divalproex. This is a relatively new area of clinical observation, and systematic studies are needed to firmly establish this diagnostic category in very young children. Our case series enriches the existing scant literature and provide the rationale for the use of mood stabilizers rather than stimulants in this juvenile population. However, no controlled studies exist on the efficacy and safety of valproate in this age group; lithium that has received greater clinical attention, has not been subjected to controlled studies either. Our clinical observations with divalproex are preliminary but encouraging.


Asunto(s)
Antimaníacos/farmacología , Trastorno Bipolar/tratamiento farmacológico , Ácido Valproico/farmacología , Afecto/efectos de los fármacos , Factores de Edad , Niño , Preescolar , Femenino , Humanos , Lactante , Masculino , Resultado del Tratamiento
19.
J Cataract Refract Surg ; 23(6): 923-9, 1997.
Artículo en Inglés | MEDLINE | ID: mdl-9292679

RESUMEN

PURPOSE: To evaluate the efficacy of a new trabecular aspiration technique on intraocular pressure (IOP) immediately after cataract surgery. SETTING: University Eye Hospital of Cologne, Germany. METHODS: This prospective, double-masked study comprised 48 of 100 patients having extracapsular cataract extraction (ECCE) who were randomly assigned to a study group. In these patients, 180 degrees of the inferior circumference of the chamber angle was treated with negative suction pressure ranging between 100 and 200 mm Hg. The other 52 patients served as a control group. Intraocular pressure was measured preoperatively and early (5 to 7 hours) and late (12 to 48 hours) postoperatively. RESULTS: There was a significant mean increase in IOP from the preoperative to early postoperative period in both the control group (20.8 mm Hg) and the treatment group (7.4 mm Hg). There was no significant difference between preoperative and late postoperative pressures in either group. A one-way analysis of covariance of the changes in pressure from the preoperative to early postoperative period showed significantly less increase (P = .0041) in the aspiration than in the control group. CONCLUSION: Trabecular aspiration was effective in reducing the amount of IOP increase in the immediate period after ECCE.


Asunto(s)
Extracción de Catarata/efectos adversos , Presión Intraocular , Hipertensión Ocular/prevención & control , Succión/métodos , Malla Trabecular/cirugía , Anciano , Anciano de 80 o más Años , Método Doble Ciego , Femenino , Estudios de Seguimiento , Humanos , Lentes Intraoculares/efectos adversos , Masculino , Persona de Mediana Edad , Hipertensión Ocular/etiología , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/prevención & control , Estudios Prospectivos , Reoperación
20.
Inorg Chem ; 36(11): 2451-2457, 1997 May 21.
Artículo en Inglés | MEDLINE | ID: mdl-11669885

RESUMEN

The theoretical vibrational spectra of P(4)O(6)X (X = O, S, and Se) molecules are determined by employing the Hartree-Fock method in combination with a basis set of double-zeta quality plus polarization functions. A comparison of the three spectra is undertaken, and the shifts of the vibrational frequencies found in the spectra are analyzed. Two effects are considered to explain the changes in the band positions: the mass effect due to the replacement of oxygen by sulfur and selenium, respectively, and the bond strength effect. The mass effect of the substituent is as important as the different bond strengths of the P(V)=X bonds. Previous assignments of the bands in the P(4)O(7) spectrum are also corrected by the theoretical research, and a new correlation among the experimental vibrational spectra of the three compounds is put forth. Newly performed Raman polarization measurements confirm our theoretical findings.

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